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目的 :探讨 期整复术治疗先天性外耳、中耳畸形和外耳道闭锁并存的患者的疗效。方法 :耳廓成形术 :取自体肋软骨作支架 ,患耳颞部超薄皮瓣及皮下组织瓣包裹软骨支架形成再造耳廓。鼓室成形术 :根据鼓室畸形情况作 型或大鼓室 型成形术 ;外耳道再造 :用全厚皮片移植。结果 :术后随访 4～ 6年 ,全部病例外耳道宽畅 ,成形鼓膜完整。语言频率听阈降低均达到应用水平 ;再造耳 11耳成活 ,8耳外形满意。结论 : 期整复术是治疗外耳、中耳畸形和外耳道闭锁并存的有效方法。
Objective: To investigate the effect of reconstructive surgery on patients with congenital auricle, middle ear deformity and external auditory canal obstruction. Methods: auricle angioplasty: taken from the costal cartilage as a scaffold, with the ear and the temporal superficial flap and subcutaneous tissue flap cartilage scaffolds to form a reconstruction ear. Tympanoplasty: According to tympanic malformation or tympanoplasty; external auditory canal reconstruction: with full-thickness skin graft. Results: All the patients were followed up for 4 to 6 years. The external auditory canal was smooth and the tympanic membrane was intact. The reduction of language frequency hearing threshold reached the level of application; Conclusion: Integrative surgery is an effective method for the treatment of external ear, middle ear deformity and external auditory canal atresia.